Cardiac

I was diagnosed with Celiac 10+yrs ago. I am extremely strict with my disease. I do not cheat, cross contaminate, ext. Ever since I was diagnosed I have been having increasingly uncontrolled cardiac problems. With a very recent 30 day loop recording this is the finding.

Sinus Arrhythmia
Uniform VE's
Trigeminy
Sinus Rhythm
Sinus Tachycardia.
SVE's
Rare PVC,
Sinus Bradycardia
in a past 24hr holter show PAC, this one did not.

All of these came back from the 30 loop recording that they finally decided to do after having several EKG's which showed:

under an episode: Biatrial Enlargement, Incomplete Bundle Branch Block, Abnormal EKG

no know episode: possible left atrial enlargement, Borderline ECG

The Doctor keeps telling me that ever time I have an episode to come into the office, I am tired of them milking my insurance. I am tired of not getting answers to my questions. Not knowing if more should be done. Should I be on medication? I want to know what this all means? I would like a description on each condition? is there something else underlying or could there be? Could there be another disease that is making all this happen? How dangerous is all of these that are happening together?

When they do happen, I physically feel like ****....I feel like I am gonna drop dead and I cant function....

[itdood]

Sinus Arrhythmia is kinda the norm, it happens to just about everyone.  Your heart speeds up a bit and slows down a bit with your breathing.  It's natural and considered beneficial.    I had that on my holter as-well.  Everyone I talk to that ever had one had sinus arrhythmia.

Sinus Rhythm is completely normal

You had some rare PVCs that were classified as trigeminy (every 3rd beat), no big deal.

When tests are run, if something can't be ruled out by the test, it's listed as a possible finding so it can be explored more.

For the other issues found on your EKG you should have further study done, such as an echo and a stress test.  EKG's are OK as a basic test but I wouldn't draw big conclusions from them.  If your doc hasn't ordered a stress or echo yet then your doc is obviously not worried.

[rockcityaudiouk]

Hello Kate,I will try to answer your questions.
1.Sinus arrhythmia is a NORMAL phenomenon of mild acceleration and slowing of the
heart rate that occurs with breathing in and out.
2.Uniform VE's  and  complex VES do occur at times in subjects without identifiable cardiovascular disease.
3.Sinus Rhythm=NORMAL.
4.Sinus tachycardia is usually a response to normal physiological situations, such as exercise and an increased sympathetic tone with increased catecholamine release—stress, fright, flight, anger.
5.The pathophysiology of sinus bradycardia is dependent on the underlying cause. Commonly, sinus bradycardia is an incidental finding in otherwise healthy individuals, particularly in young adults or sleeping patients. Other causes of sinus bradycardia are related to increased vagal tone.

Physiologic causes of increased vagal tone include the bradycardia seen even in athletes. Pathologic causes include, but are not limited to, inferior wall myocardial infarction, toxic or environmental exposure, electrolyte disorders, infection, sleep apnea, drug effects, hypoglycemia, hypothyroidism, and increased intracranial pressure.
It is possible that your Celiac condition(Coeliac disease ) is affecting your vagus nerve.

Parasympathetic innervation of the heart is mediated by the vagus nerve. Specifically, the vagus nerve acts to lower the heart rate. The right vagus innervates the sinoatrial node. Parasympathetic hyperstimulation predisposes those affected to bradyarrhythmias. The left vagus when hyperstimulated predisposes the heart to atrioventricular (AV) blocks.

So obviously now the next step is to have a full cardiac work up including blood tests hs-CRP is promoted by some as a test for determining the potential risk level for cardiovascular disease,and possibly a Trop test.(Tropopnin) is a protien that heart muscle is made up of. When its detected in blood ,it indicates heart muscle damage.
Thyroid function test.
To date, little has been studied about cardiac function specifically as it relates to celiac disease. some researchers undertook study to assess cardiac functions using Tissue Doppler Echocardiography in patients with celiac disease.
The team concluded that people with celiac disease coupled with prominent serum IgA Anti-endomysial antibody reactivity, show higher rates of subclinical systolic dysfunction of the left ventricle. They also noted that Tissue Doppler echocardiography offers a helpful quantifiable indicator for cardiac monitoring of disease during follow up.
Total IgA Testing.
In cases where testing for IgA anti-gliadin, anti-tissue transglutaminase, and anti-endomysial antibodies is being carried out, total IgA levels may also be tested. Low total IgA levels are associated with celiac disease.

Please research well your cardiologist before using them,some are quite frankly ignorant.
Hope this helps.
Jon.